TY - JOUR A1 - Anand, Corinna A1 - Kranz, Ragna-Marie A1 - Husain, Sarah A1 - Koeder, Christian A1 - Schoch, Nora A1 - Karam Alzughayyar, Dima A1 - Gellner, Reinhold A1 - Hengst, Karin A1 - Englert, Heike T1 - Bridging the gap between science and society: long-term effects of the Healthy Lifestyle Community Programme (HLCP, cohort 1) on weight and the metabolic risk profile: a controlled study JF - BMJ Nutrition, Prevention & Health N2 - Background The potential of adopting a healthy lifestyle to fight non-communicable diseases (NCDs) is not fully used. We hypothesised that the Healthy Lifestyle Community Programme (HLCP, cohort 1) reduces weight and other risk markers compared with baseline and control. Methods 24-month, non-randomised, controlled intervention trial. Intervention: intensive 8-week phase with seminars, workshops and coaching focusing on a healthy lifestyle (eg, plant-based diet, physical activity, stress management) and group support followed by a 22-month alumni phase. Weight reduction as the primary outcome and other NCD risk parameters were assessed at six time points. Participants were recruited from the general population. Multiple linear regression analyses were conducted. Results 143 participants (58±12 years, 71% female) were enrolled (91 in the intervention (IG) and 52 in the control group (CG)). Groups’ baseline characteristics were comparable, except participants of IG were younger, more often females, overweight and reported lower energy intake (kcal/day). Weight significantly decreased in IG at all follow-ups by −1.5 ± 1.9 kg after 8 weeks to −1.9 ± 4.0 kg after 24 months and more than in CG (except after 24 months). Being male, in the IG or overweight at baseline and having a university degree predicted more weight loss. After the intervention, there were more participants in the IG with a ‘high’ adherence (+12%) to plant-based food patterns. The change of other risk parameters was most distinct after 8 weeks and in people at elevated risk. Diabetes-related risk parameters did not improve. Conclusion The HLCP was able to reduce weight and to improve aspects of the NCD risk profile. Weight loss in the IG was moderate but maintained for 24 months. Participants of lower educational status might benefit from even more practical units. Future interventions should aim to include more participants at higher risk. Trial registration number DRKS00018821. Y1 - 2022 U6 - http://dx.doi.org/10.1136/bmjnph-2021-000340 ER - TY - JOUR A1 - Koeder, Christian A1 - Husain, Sarah A1 - Kranz, Ragna-Marie A1 - Anand, Corinna A1 - Alzughayyar, Dima A1 - Schoch, Nora A1 - Hahn, Andrea A1 - Englert, Heike T1 - Healthy lifestyle changes favourably affect common carotid intima-media thickness: the Healthy Lifestyle Community Programme (cohort 2) JF - Journal of Nutritional Science N2 - Common carotid intima-media thickness (ccIMT) progression is a risk marker for cardiovascular disease (CVD), whereas healthy lifestyle habits are associated with lower ccIMT. The objective of the present study was to test whether a healthy lifestyle intervention can beneficially affect ccIMT progression. A community-based non-randomised, controlled lifestyle intervention was conducted, focusing on a predominantly plant-based diet (strongest emphasis), physical activity, stress management and social health. Assessments of ccIMT were made at baseline, 6 months and 1 year. Participants had an average age of 57 years and were recruited from the general population in rural northwest Germany (intervention: n 114; control: n 87). From baseline to 1 year, mean ccIMT significantly increased in both the intervention (0⋅026 [95 % CI 0⋅012, 0⋅039] mm) and control group (0⋅045 [95 % CI 0⋅033, 0⋅056] mm). The 1-year trajectory of mean ccIMT was lower in the intervention group (P = 0⋅022; adjusted for baseline). In a subgroup analysis with participants with high baseline mean ccIMT (≥0⋅800 mm), mean ccIMT non-significantly decreased in the intervention group (−0⋅016 [95 % CI −0⋅050, 0⋅017] mm; n 18) and significantly increased in the control group (0⋅065 [95 % CI 0⋅033, 0⋅096] mm; n 12). In the subgroup, the 1-year trajectory of mean ccIMT was significantly lower in the intervention group (between-group difference: −0⋅051 [95 % CI −0⋅075, −0⋅027] mm; P < 0⋅001; adjusted for baseline). The results indicate that healthy lifestyle changes may beneficially affect ccIMT within 1 year, particularly if baseline ccIMT is high. KW - plant-based diet KW - carotid intima-media thickness KW - cardiovascular disease KW - atherosclerosis KW - lifestyle Y1 - 2022 UR - https://www.cambridge.org/core/journals/journal-of-nutritional-science/article/healthy-lifestyle-changes-favourably-affect-common-carotid-intimamedia-thickness-the-healthy-lifestyle-community-programme-cohort-2/DD29870A14031B1EB3DF112B2A381695#article U6 - http://dx.doi.org/10.1017/jns.2022.46 VL - 11 ER - TY - JOUR A1 - Anand, Corinna A1 - Hengst, Karin A1 - Gellner, Reinhold A1 - Englert, Heike T1 - Eight weeks of lifestyle change: What are the effects of the Healthy Lifestyle Community Programme (cohort 1) on Cortisol Awakening Response (CAR) and perceived stress? JF - Chronic Stress Y1 - 2022 U6 - http://dx.doi.org/10.1177/24705470221099206 SP - accepted ER - TY - JOUR A1 - Anand, Corinna A1 - Hengst, Karin A1 - Gellner, Reinhold A1 - Englert, Heike T1 - Eight Weeks of Lifestyle Change: What are the Effects of the Healthy Lifestyle Community Programme (Cohort 1) on Cortisol Awakening Response (CAR) and Perceived Stress? JF - Chronic stress N2 - Background: Stress and cortisol dysregulation are linked to NCDs. Moreover, stress favours unhealthy lifestyle patterns, which increase the risk for NCDs. The role of the Cortisol Awakening Response (CAR) and the effect of lifestyle interventions on the same remain unclear. Methods: The impact of the intensive 8-week phase of the Healthy Lifestyle Community Programme (HLCP, cohort 1) on parameters of the CAR, ie cortisol values 0 (sample [S]1), 30), 45 and 60 minutes post-awakening, average peak, S1-peak delta and area under the increase curve (AUCI), and perceived stress levels (PSL) was evaluated in a non-randomized, controlled trial. Covariates of the CAR (eg sleep measures) and irregularities in sampling were assessed. The intervention focussed on stress management, a healthy diet, regular exercise, and social support. Participants were recruited from the general population. Multiple linear regression analyses were conducted. Results: 97 participants (age: 56 ± 10 years; 71% female), with 68 in the intervention group (IG; age: 55 ± 8, 77% female) and 29 participants in the control group (CG; age: 59 ± 12, 59% female), were included in the analysis. The baseline characteristics of both groups were comparable, except participants of IG were younger. On average, the PSL at baseline was low in both groups (IG: 9.7 ± 5.4 points; CG: 8.5 ± 6.9 points; p = .165), but 22% (n = 15) in the IG and 20% (n = 6) in the CG reported a high PSL. Most participants reported irregularities in CAR sampling, eg interruption of sleep (IG: 80% CG: 81%). After 8 weeks, most CAR parameters and the PSL decreased in the IG and CG, resulting in no differences of change between the groups. In the IG only, a decrease of PSL was linked to an increase of CAR parameters, eg AUCI (correlation coefficient = −0.307; p = .017). Conclusion: The HLCP may potentially reduce PSL and change the CAR, but results cannot be clearly attributed to the programme. Methodological challenges and multiple confounders, limit suitability of the CAR in the context of lifestyle interventions. Other measures (eg hair-cortisol) may give further insights. Trial registration: German Clinical Trials Register (DRKS); DRKS00018821; www.drks.de KW - cortisol, weight, lifestyle, stress Y1 - 2022 U6 - http://dx.doi.org/10.1177/24705470221099206 VL - 2022 IS - 6 SP - 1 EP - 13 ER - TY - JOUR A1 - Wos, Karolina A1 - Borghoff, Lisa Marie A1 - Horvat, Andrijana A1 - Paoletti, Flavio A1 - Saggia Civitelli, Eleonora A1 - Rembiałkowska, Ewa ED - Bacenetti, Jacopo T1 - Preliminary Analysis of Voluntary Information on Organic Milk Labels in Four European Union Countries JF - Sustainability N2 - The concern for the environment among European consumers is growing and in the future the need for sustainable shopping is expected to increase. Through transparent on-packaging communication with consumers, organic producers have the opportunity to show attributes of organic production system and build a strong market position. The aim of the study was to analyse voluntary packaging information on organic milk from four European markets in the context of organic food quality, i.e., Germany, the Netherlands, Italy and Poland. More specifically, the textual content of 106 organic milk packages was analysed and voluntary information on each package was categorized according to process- and product-related organic milk attributes. The assortment and content of voluntary packaging information varied across the four countries. The largest number of products was found on the German market (37) and the smallest on the Polish market (14). Dutch milk had the greatest amount of voluntary information on animal welfare, product locality, environmental protection, quality confirmation, naturalness and nutritional value. German milk had the most information on enjoyment and conditions of processing, while the Italian milk on the social perspective. The products available on the Polish market had the least voluntary information. Pasteurized organic milk had noticeably more information about organic quality attributes than micro filtrated and UHT milk. KW - milk package KW - organic KW - content analysis KW - optional KW - value Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-156981 SP - 1 EP - 18 PB - MDPI ER - TY - JOUR A1 - Koeder, Christian A1 - Alzughayyar, Dima A1 - Anand, Corinna A1 - Kranz, Ragna-Marie A1 - Husain, Sarah A1 - Schoch, Nora A1 - Hahn, Andreas A1 - Englert, Heike T1 - The healthful plant-based diet index as a tool for obesity prevention – the Healthy Lifestyle Community Program cohort 3 study JF - Obesity Science and Practice N2 - Background Worldwide the prevalence of obesity is high, and promoting a shift towards more healthful and more plant-based dietary patterns appears to be one promising strategy to address this issue. A dietary score to assess adherence to a healthy plant-based diet is the healthful plant-based diet index. While there is evidence from cohort studies that an increased healthful plant-based diet index is associated with improved risk markers, evidence from intervention studies is still lacking. Methods A lifestyle intervention was conducted with mostly middle-aged and elderly participants from the general population (n = 115). The intervention consisted of a 16-month lifestyle program focusing on a healthy plant-based diet, physical activity, stress management, and community support. Results After 10 weeks, significant improvements were seen in dietary quality, body weight, body mass index, waist circumference, total cholesterol, measured and calculated LDL cholesterol, oxidized LDL particles, non-HDL cholesterol, remnant cholesterol, glucose, insulin, blood pressure, and pulse pressure. After 16 months, significant decreases were seen in body weight (-1.8 kg), body mass index (-0.6 kg/m2), and measured LDL cholesterol (-12 mg/dl). Increases in the healthful plant-based diet index were associated with risk marker improvements. Conclusions The recommendation of moving towards a plant-based diet appears acceptable and actionable and may improve body weight. The healthful plant-based diet index can be a useful parameter for intervention studies. Y1 - 2022 U6 - http://dx.doi.org/10.1002/osp4.649 ER - TY - JOUR A1 - Wiesweg, Niklas A1 - Schäpers, Philipp A1 - Bernhold, Torben A1 - Hartmann, Timo T1 - On the challenges of inter-organisational data in real estate: The role of knowledge sharin JF - Engineering, Construction and Architectural Management KW - Knowledge management KW - Strategic management Y1 - 2022 U6 - http://dx.doi.org/10.1108/ECAM-12-2021-1081 SN - 0969-9988 VL - 2022 ER - TY - JOUR A1 - Fischer, T. T1 - Ketogene Ernährung als Trenddiät, Teil 2: Risiken, Produktangebot, Kosten und Ausblick JF - Ernährungs Umschau Y1 - 2022 UR - https://www.ernaehrungs-umschau.de/print-artikel/12-10-2022-ketogene-ernaehrung-als-trenddiaet-teil-2/ VL - 69 IS - 10 SP - S77 EP - S80 ER - TY - JOUR A1 - Fischer, T. T1 - Ketogene Ernährung als Trenddiät, Teil 1: Definition, Einsatz zur Gewichtsreduktion und bei verschiedenen Krankheiten JF - Ernährungs Umschau Y1 - 2022 UR - https://www.ernaehrungs-umschau.de/print-artikel/14-09-2022-ketogene-ernaehrung-als-trenddiaet/ VL - 69 IS - 9 SP - S65 EP - S72 ER - TY - JOUR A1 - Och, U. A1 - Fischer, T. A1 - Marquardt, T. T1 - Ernährungstherapie bei angeborenen Stoffwechselerkrankungen, Teil 4: Störungen des Kohlenhydratstoffwechsels JF - Ernährungs Umschau Y1 - 2022 UR - https://www.ernaehrungs-umschau.de/print-artikel/14-02-2022-ernaehrungstherapie-bei-angeborenen-stoffwechselerkrankungen/ VL - 69 IS - 2 SP - M90 EP - M107 ER -